ICU ADMISSIONS IN OBSTETRICS: ANALYSIS OF INDICATIONS , INTERVENTIONS AND MORTALITY IN A TERTIARY CARE CENTRE.

Background: Obstetrics emergencies pose a major challenge to obstetricians and should be managed by multidisciplinary team in ICU. Objectives: To analyse the demographic pattern, cause of admission ,intervention and maternal outcome in obstetric patients admitted in ICU. Material and methods: A retrospective observational analysis of 58 obstetric patients admitted and managed in ICU was done. The parameters studied were cause of ICU admission, intervention and outcome of such patients. Results: Only 58 patients were admitted to ICU over a period of two years which constitutes 0.29% of all the deliveries and 0.27% of all emergency obstetric admissions. The main obstetric indications for ICU admissions were ectopic pregnancy(25.86%), postpartum haemorhage(22.41%) followed by hypertensive disorders(20.68%), antepartum haemorhage(6.89%) and medical disorders(5.17%) The mortality rate among the women admitted in ICU was 8.62%.